Provider Demographics
NPI:1053981696
Name:VALLEE, CASSIE (LPN)
Entity type:Individual
Prefix:MS
First Name:CASSIE
Middle Name:
Last Name:VALLEE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 FERNHILL ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-3516
Mailing Address - Country:US
Mailing Address - Phone:774-289-4463
Mailing Address - Fax:
Practice Address - Street 1:159 FERNHILL ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3516
Practice Address - Country:US
Practice Address - Phone:774-289-4463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-27
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN88315164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse